Medicare Claims Processing Manual (Pub. 100-04), Ch. 15 § 20
Payment Rules
20 - Payment Rules
(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)
B3-4115, 5116, PM AB-02-131
Medicare covered ambulance services are paid based on the Medicare ambulance fee schedule.
The following subsections describe how contractors calculate the payment amount. Section 20.1
and its subsections describe how the payment amount is calculated for the fee schedule. The
other subsections in §20 provide information on certain components of the payment amount
(e.g., mileage) or specialized payment amounts (e.g., air ambulance).